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Original communication| Volume 37, ISSUE 4, P536-541, April 1955

Acute gastric ulcer

  • Frederic W. Taylor
    Affiliations
    From the Surgical Service of the Indianapolis General Hospital, Indianapolis, Ind., USA

    From the Veterans Adminstration Hospital, Indianapolis, Ind., USA

    From the Indiana University Hospitals Indianapolis, Ind., USA
    Search for articles by this author
  • Dempsey C. Strange
    Affiliations
    From the Surgical Service of the Indianapolis General Hospital, Indianapolis, Ind., USA

    From the Veterans Adminstration Hospital, Indianapolis, Ind., USA

    From the Indiana University Hospitals Indianapolis, Ind., USA
    Search for articles by this author
      This paper is only available as a PDF. To read, Please Download here.

      Abstract

      Primary acute gastric ulcer is a distinct clinical entity. It has been completely overshadowed by the more prominent and frequently discussed chronic ulcer. The immediate dangers of acute gastric ulcer are quite different and demand immediate operation. Its history is brief and obscure. The diagnosis is difficult and at times impossible. There are, however, definite suggestive leads in spite of paucity of signs and symptoms.
      A brief experience with eight such proved ulcers is given. Our impression, which remains to be confirmed by others, is that:
      • 1.
        (a) Acute gastric ulcers in which there is massive bleeding occur in that extremely vascular part of the stomach, high on the lesser curvature. These do not perforate.
      • 2.
        (b) Those acute gastric ulcers which perforate may occur at any site. They do not bleed and resemble in all respects the prepyloric and duodenal perforating ulcer.
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